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Home My WebLink About15706-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17232 Date AUGUST 26{ 1988 THIS CERTIFIES that the building ADDITION Location of Propert~ 1405 NARROW RIVER ROAD House No. Street County Tax Map No. 1000 Section 027 Block 03 Subdivision Filed Map No. ORIENT Hamlet Lot 06.3 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 17f 1987 pursuant to which Building Permit No. 15706Z dated FEB. 25f 1987 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BERIT LALLI (owner, ~OO~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N842555 NOV. 10~ 1987 PLUMBERS CERTIFICATION DATED MIKE JACOBI Nov. 19~ 1987 Rev. 1/81 /Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: . ~ ...... ~. :..Z ..?... at premises located at l../..~....~..~,./...~.~...~-~....:...~....., ....... ..~..~...~. ..... County Tax Map No ,1000 Section ..... ..(~...-~'~. ...... Block .... .~..~ ....... Lot No ..... .~..;.~-~ . ., 19.~..~., a,d oppro, ed ~y th. Building Inspector. Building In.~ector Rev 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS 10007?5 BUREAU OF ELECTRICITY ~-- ~ BS JOHN STREET, NEW YORK, NEW YORK 10038 THIS CE~IFIE5 THAT ~s examined on ~ovemb~ 2, 1~ and found to be ~n compliance u~th the requirements of th~s Board FIXTURE 04JTLETS ~ SWITCHES 5 6 DRYERS RXTURES RANGES JCOOKING DECKS OVENS DISH WASHERS EXHAUST FANS 1-G.F.C.I. 'l~d, ROOM tLI~TER$: 1-1.Skw., 2-1.0kw, Arthur l~roede Main Rd. Orient, N.Y. 11957 itc .~2334-T:; ~ MANAGlUl 11 ~ Thts cerhf~cate must not be altered in any manner, return to the office of the Board if incorrect Inspectors may be identlfmd by thetr credenhals COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P O BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date ////~ /~.7 Building Permit N4. /~"~W/' '1--- I. Owner (pl'ease print) Plu er (pleas~ print) I certlfy th~tt the solder used in the water supply system contains less thai 2/10 of 1% lead. ( p 1 umbys signature) Sworn to before m this /? day o~ ~ i~7. Notary Public, ~v~~ County Notary Public HET.EN r~ DE VOE ~. IIOTARY PUBL C, Sbte o~ New 'fee~ Ne 4707878, Suffolk Count~¢~ Term Exi~res March 30,19..-.~.-/' FORM NO. 6 TOWN OF SOUTHOLD Budding Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPA~ Instructions BLDG. DEPT. A. This application must )e filled in typewmter OR ~nk, and submitted m",----~ to the Building Inspec- tor with the following, Pot new buildings or new use' 1. Final survey of pro[ erty w~th accurate location of all buddings, property lines, streets, and unusual natural or topograph[c features. 2.Final approval of Hea th Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electmcal installation from Board of F~re Underwriters. 4. Commercial buddings, Industrial buddings, Multiple Residences and simdar buddings and installa- tions, a certificate of Code comphance from the Architect or Engineer responsible for the budding. 5.Submit P arming Boa,rd approval of completed site plan requirements where applicable. B. For ex~stmg buddmgs~ (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses' 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2.Sworn statement of owner or prewous owner as to use, occupancy and condition of buildings. 3. Date of any houmn~code or safety inspection of buddings or premises, or other pertinent informa- tion requ ~red to prepare a certif~cate. C. Fees' I Addztzons $25.00 POOLS $25.00 ALTERATION $25.00 1. Certlficate of occupancy New Dwellzng $25.00, Accessory ~$[0.00 Business $50.00 2. Certificate of occupancy on pre-exLstmg dwelhng $ 50 00 3 Copy of cert~f cate o~ occupancy $ 5.00, over ~ years $]0.00 4.Vacant Land CiO. $ 20.00 5.Updated C.O. i $ 50.00 ~D~e~....~.-..~,.~..-~..~. ......... NewConstructzon ..... OIdorPre-ex~stLngBuddLng,. .~.~( ....... Vacant Land ............. Hou~ No. S, tree~ Owner or Owners of Property .............................................. Count/Tax Map ~o. lO001Sect~on ............... Block ............... Lot ................ Subd~wmon ........... i ................. Fded Map No ....... Lot No ............. ~ .~-..~J..O. ~ .~Date of Perm,t Apphcant ~ .~....~...~ Permit No .................... ~ ............... Health Dept. Approval ....................... Labor Dept. Approval ....................... Underwmters Approval ..................... Planmng Board Approval ................. , Request for Temporary Ce!tiflcate .................... Final Cert~hcate ....................... Fee Submitted $ . . t~. ~:~.?~...~'..-~..~..(~/ .......... Construction on above de~mbed budding and permit meets ali apphcab[e codes and regulations J Apphcant ........ ~: .~ ........... R~. 10 10-78 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND / ] INSULATION FRAMING ~r]FINAL ' l'/ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND £~INSULATION [ ] FRAMING REMARKS: FINAL DATE INSPECTOR ~.~ ~/~ 765-1802 BUILDING DEPT. INSPECTION DATIoN 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~ ~ / # ~ ~ DATE OUNDATIO'~ ( ~) OUNDATION (2nd) PLUMBING NSULATION PER N. STATE ENERGY CODE FI~AL ADDITIONAL ,~TS: FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved'~.~ .~.~.., 1987. Permit No .1 $7, .'7o.(¢ .'ff,. Disapproved a/c ....................... (BmF&ng Inspector) APPLICATION FOR BUILDING PERMIT Received ........... Date INSTRUCTIONS a Tins application must be completely filled in by Wpewnter or in ink and submitted to the Bmldmg Inspector, wit sets of plans, accurate plot plan to scale. Fee according to schedule b Plot plan showing locatlgn of lot and of bmldmgs on premises, relationship to adjoining premises or pubhc stre or areas, and giving a detailed d?cnptlon of layout of property must be drawn on the diagram which Is part of this ap cation c The work covered by tlu~ application may not be commenced before issuance of Building Permit d. Upon approval of this appheatlon, the Bmldmg Inspector will issued a Braiding Permit to the applicant. Such per, shall be kept on the premlses ava/lable for inspection throughout the work. e No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupm shall have been granted by the Building Inspector APPLICATION IS HEREBi~ MADE to the Bmldmg Department for the issuance of a Building Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance- Regulations, for the constructldn of buildings, additions or alterations, or for removal or demolition, as herein descril: The applicant agrees to comply with all apphcable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on; iremlses and m building for necessary inspections (Signature of applicant, or name, if a corporation) ' (mailing address of appl~rcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pljlmber or buil~ Nalne of owner of premises ............................ (as on the tax roll or latest deed) If apphcant ~s a corporation, signature of duly authorized officer ! (Name' ~t~ci 'title' ;~ ~i~or~te ;~c~r)' ' ' Budder's License No. I Plmnber's License No ......... Electrician's License No I .......... Other Trade's License No ....... Location of land on wluc Proposed work will be done ltouse Number County Tax Map No I000 Street .. ~"7 .. Block ~ ...... Snbdlvlslon ....... (Name) Filed Map No . . . HOmier State existing use and occu ancy of premises and intended use and occupancy of proposed construction a. Existing use and occupal y ...... ~~.~. ? t ~ .............. b Intended use and occupapcy ..... ~.~ .... Lot s-'' Lot . .. 3. NatUre of work (check whxch applicable) New Bmldmg ....... Addition .-'. t ..... Repmr ....... Removal ........... Demoht,on .............. Other Work ............ [ ~ ,,.~.1 ~ (Description) 4. Estnnated Cost . ., ~ ..... ' .............. Fee ................................... (to be paid on filing this application) '5. If dwelling, nOmber of dwelling umts .... .[ ......... Number of dwelling units on each floor ............ If garage, number of cars .......... ! ....................................................... ' U 6. If business, commercial or mixed occupancy specify nature and extent of each type of se .................. 7. Dimens, ons of exlstlng structures, ffany' Front· .~.~1.' ..... Rear .., %...~ .... Depth ..~..~ ...... Height .............. Number of Stones ....... .~;, ........................................ Dunensions of same structtire w~th alterations or additmns: Front ...~..~.l: .......... Rear ....... '~...~... Depth ...~ ~ .............. Height ................... Number of Stories .... ~ ............ · ~ a. ~ ... Rear ...%.~ ......... Depth .~ .~... 8. D~mens~ons of enhre new qonstruction Front ................ Height .... Number of Stories . . .~ ............................... ~ ....... 9. S~zeoflot'Front ...1~'~-~'.~. ..~. .... Rear... JJ..~...'7.] ........ Depth .[.~...~..I.~. ........ 10. Date of Purohase . ,.~a~-~.['.{~.. [~.~. a~ 11. Zone or use d~stnct in which premls'~s are situated., i ..' N,~e ................................... of Former Owner . ...~M~.. ~'~,~ .......... 12. Does proposed construction violate any zoning law, ordinance or regulation: ,, .,~n.~.~ ................... 13. Will lot be regraded .... , ....... .. .......... ~ .... Will excess f'fll be relieved from premises: Yes ~ 14. Name of Owner of nremlses~. ~.. Address l.O~i_[4.~~,..~J~hone t~,~. ~,~: ~~. ':~o~, Name of Arclntect ? ¥)~---~---"'~1 ~... Address ~.. Phone No ...... .'. Name of Contractor .C..3~.J. !..-h-Al...k~. ~ ...... Addresst~w~......°~..~..~ :... Phone No. ~-.~ ' -t-~. R: 15. Is th£s property Jcoc~ted w±~:h±n3.00 feet of a t±dal wetland? * Yes ..... No . .14~.. · If yes, $outhol. d Towr~ Trustees Perra±t may be requ±red. PLOT DIAGRAM Locate clearly and distmctly all buddings, whether existing or proposed, and. an&cate all set-back dimensmns fn property hnes. Gwe street and block number or descnptmn according to deed, and show street names and indicate whetl interior or corner lot ~' ., ~ ~' ~. , STATEOFNEW ~nmC- '- ~ S.S COUNTY OF ...... l ' ' ........... being duly sworn, deposes and says that he ~s the apphc, (Name of ~ndw~dua~ stgmng contract) above named. He ~s the ...................... (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and iS duly authorized to i~erform or have performed the said work and to make and file t apphcat~on, that all statements contained m this apphcatton are true to the best ofh~s knowledge and belief, and that ~ work will be performed m the manner set forth in the application filed therewith. Sworn to before me th~s Notary PubUc, · County (Signature of appltca OC t~ OCCUPANCY'OR OCCUPANCY 76~!~2 g AM TO'~ PM ~R THE INS~ATION' ' NAL- C~NS~RUCTIf3k' ~UST